Case Manager, RN

Duly Health and Care

. Review hospitalization and discharge reports to identify patients eligible for Transitional Care Management services.

Posted 10/14/2026full-timeDowners Grove • Illinois • United StatesJuniorMid-Level💰 $79,000 - $104,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Transitional Care Management, including patient assessments, care plan development, and collaboration with healthcare providers. Proficient in managing caseloads and utilizing EMR systems to enhance patient outcomes and prevent readmissions.

Highest-signal resume keywords

Registered Nurse (RN) LicenseTransitional Care ManagementCase Management ExperienceEMR Systems ProficiencyStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Nursing ExperienceCare CoordinationPatient AssessmentMedication ReconciliationCare Plan DevelopmentReadmission Prevention PrinciplesTelephonic Care ManagementPopulation Health Knowledge

Soft Skills

Critical ThinkingOrganizational AbilitiesTime-Management SkillsIndependent Work

Tools & Technologies

Care Management PlatformsMicrosoft Office

Certifications & Qualifications

CCM CertificationACM CertificationAssociate Degree in Nursing (ADN)

Industry Keywords

Social Determinants of HealthValue-Based Care InitiativesCommunity Resources

About the role

Key responsibilities & impact

Review hospitalization and discharge reports to identify patients eligible for Transitional Care Management services.
Conduct post-discharge outreach, assessments, and enrollment activities in accordance with program requirements.
Manage an assigned caseload of patients during the 30-day post-discharge period.
Develop, implement, and monitor individualized care plans with measurable goals and interventions.
Coordinate follow-up appointments, medication reconciliation, and post-discharge services.
Collaborate with providers, office staff, hospitals, skilled nursing facilities, home health agencies, and community resources to facilitate care transitions.
Identify and address barriers to care, including social determinants of health.
Educate patients and caregivers regarding discharge instructions, disease management, and symptom escalation.
Maintain accurate and timely documentation within the EMR and care management platforms.
Monitor patients for risk factors associated with avoidable readmissions and escalate concerns appropriately.
Collaborate with care management, quality, and population health teams to support value-based care initiatives.
Provide telephonic and virtual care management services during the 30-day post-discharge period.
Perform other duties as assigned.

Requirements

What you’ll need

Current unrestricted Registered Nurse (RN) license required.
Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing preferred.
CCM, ACM, or equivalent certification preferred.
Minimum two years of clinical nursing experience required.
Two years of case management, care coordination, transitional care management, or population health experience preferred.
Remote or telephonic care management experience preferred.
Knowledge of transitional care management, care coordination, and readmission prevention principles.
Strong communication, assessment, and critical thinking skills.
Ability to work independently in a remote environment.
Strong organizational and time-management abilities.
Proficiency with EMR systems, care management platforms, and Microsoft Office.
Knowledge of community resources and social determinants of health.

Benefits

Comp & perks

Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
Access to a mental health benefit at no cost.
Employer provided life and disability insurance.
$5,250 Tuition Reimbursement per year.
Immediate 401(k) match.
40 hours paid volunteer time off.
A culture committed to community engagement and social impact.
Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
Full-Time, 40 hours per week
Monday-Friday; 8am-4:30pm
Remote work arrangement
Shift differentials, bonuses, and other incentives may be available.